DEPARTMENT OF INSURANCE

Affiliations

Name	Prewitt, Lori M	DOIID	354231	NAIC NPN	1491522

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Administrator	Not Applicable	6/23/2021		9/30/2026
Active	Resident	Agent	Property	8/15/2000		9/30/2026
Active	Resident	Agent	Health	8/17/1992		9/30/2026
Active	Resident	Agent	Casualty	8/15/2000		9/30/2026
Active	Resident	Agent	Life	8/17/1992		9/30/2026
Inactive	Resident	Agent	General Lines	11/16/1989	8/15/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Administrator	07/15/2024	09/30/2024	07/15/2024	07/15/2024	Yes
Agent	07/15/2024	09/30/2024	07/15/2024	07/15/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	All Savers Insurance Company	301940	Agent - Health	4/26/2024
Active	All Savers Insurance Company	301940	Agent - Life	4/26/2024
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Health	1/25/1996	4/14/2008
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	1/25/1996	4/14/2008
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	10/27/1992	3/12/2003
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	10/27/1992	3/12/2003
Inactive	American National Life Insurance Company of Texas	300912	Agent - Health	10/10/2005	6/4/2015
Active	American National Life Insurance Company of Texas	300912	Agent - Life	10/10/2005
Active	Anthem Life Insurance Company	301209	Agent - Health	11/3/1994
Active	Anthem Life Insurance Company	301209	Agent - Life	11/3/1994
Inactive	Baltimore Life Insurance Company	300286	Agent - Health	8/31/2001	9/30/2005
Inactive	Baltimore Life Insurance Company	300286	Agent - Life	8/31/2001	9/30/2005
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	11/14/2003	3/31/2019
Active	Boston Mutual Life Insurance Company	300143	Agent - Health	4/16/1997
Active	Boston Mutual Life Insurance Company	300143	Agent - Life	4/16/1997
Inactive	Canada Life Assurance Company	301192	Agent - Health	7/27/1999	9/18/2003
Inactive	Canada Life Assurance Company	301192	Agent - Life	7/27/1999	9/18/2003
Active	Citizens Security Life Insurance Company	301257	Agent - Health	7/2/1996
Active	Citizens Security Life Insurance Company	301257	Agent - Life	7/2/1996
Inactive	Commerce and Industry Insurance Company	300881	Agent - General Lines	7/20/1994	3/31/1996
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	12/31/2004	12/30/2009
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	12/31/2004	12/30/2009
Active	Dental Care Plus Inc.	301495	Agent - Health	10/27/2005
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/22/2018	6/15/2018
Inactive	EMC National Life Company	300388	Agent - Health	8/25/2003	7/1/2016
Inactive	EMC National Life Company	300388	Agent - Life	8/25/2003	7/1/2016
Inactive	First Colony Life Insurance Company	301179	Agent - Health	3/1/2002	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	3/1/2002	1/1/2007
Inactive	General American Life Insurance Company	300280	Agent - Health	5/11/1995	4/21/1999
Inactive	General American Life Insurance Company	300280	Agent - Life	5/11/1995	4/21/1999
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/1/2007	10/4/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	10/4/2009
Active	Guardian Life Insurance Company of America	301316	Agent - Health	12/26/2013
Active	Guardian Life Insurance Company of America	301316	Agent - Life	12/26/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/30/2019	12/15/2020
Active	Humana Insurance Company	301104	Agent - Health	1/22/2018
Active	Humana Insurance Company	301104	Agent - Life	1/22/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/22/2018	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/22/2018	6/15/2018
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	12/1/1998	4/27/2004
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	12/1/1998	4/27/2004
Inactive	Life Insurance Company of Alabama	301439	Agent - Health	2/24/2000	2/5/2021
Inactive	Life Insurance Company of Alabama	301439	Agent - Life	2/24/2000	2/5/2021
Inactive	Medical Life Insurance Company	300693	Agent - Health	5/6/1997	12/31/2004
Inactive	Medical Life Insurance Company	300693	Agent - Life	5/6/1997	12/31/2004
Inactive	Midwest Employers Casualty Company	300124	Agent - General Lines	8/1/1994	3/31/1998
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	5/26/1999	3/20/2000
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	5/26/1999	3/20/2000
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	3/31/1994	3/31/1999
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	3/31/1994	3/31/1999
Inactive	National Travelers Life Company	300304	Agent - Health	12/7/1998	6/30/2003
Inactive	National Travelers Life Company	300304	Agent - Life	12/7/1998	6/30/2003
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - General Lines	11/16/1989	3/31/1996
Inactive	Obsidian Insurance Company	301819	Agent - Casualty	8/15/2000	1/31/2006
Inactive	Obsidian Insurance Company	301819	Agent - General Lines	9/14/1995	8/15/2000
Inactive	Obsidian Insurance Company	301819	Agent - Property	8/15/2000	1/31/2006
Inactive	ProAssurance Casualty Company	300928	Agent - Casualty	6/18/2004	12/31/2023
Active	ProAssurance Indemnity Company, Inc.	301859	Agent - Casualty	12/31/2023
Inactive	Professional Insurance Company	301281	Agent - Health	11/16/1995	6/20/2006
Inactive	Professional Insurance Company	301281	Agent - Life	11/16/1995	6/20/2006
Inactive	Protective Life Insurance Company	300638	Agent - Health	9/21/1998	1/14/2005
Inactive	Protective Life Insurance Company	300638	Agent - Life	9/21/1998	1/14/2005
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	12/4/1992	6/8/2022
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	12/4/1992	6/8/2022
Inactive	Security Life of Denver Insurance Company	300648	Agent - Health	12/9/1996	7/16/2003
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	12/9/1996	7/16/2003
Inactive	Time Insurance Company	300683	Agent - Health	2/12/2001	12/8/2005
Inactive	Time Insurance Company	300683	Agent - Life	2/9/2001	12/8/2005
Inactive	Transamerica Assurance Company	300893	Agent - Health	4/11/1997	7/25/2003
Inactive	Transamerica Assurance Company	300893	Agent - Life	4/11/1997	7/25/2003
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	5/6/1998	2/11/2003
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	5/6/1998	2/11/2003
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	4/11/1997	8/23/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	4/11/1997	8/23/2005
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	5/21/1996	12/30/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	5/21/1996	12/30/2009
Active	Union Security Insurance Company	301844	Agent - Health	9/19/2003
Active	Union Security Insurance Company	301844	Agent - Life	9/19/2003
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	4/26/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	4/26/2024
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/26/2024
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Life	4/26/2024
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/26/2024
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Life	4/26/2024
Inactive	Westport Insurance Corporation	301875	Agent - Casualty	8/15/2000	10/30/2008
Inactive	Westport Insurance Corporation	301875	Agent - General Lines	6/9/1994	8/15/2000
Inactive	Westport Insurance Corporation	301875	Agent - Property	8/15/2000	10/30/2008
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	3/15/1995	12/17/2004
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	3/15/1995	12/17/2004
Inactive	Wilco Life Insurance Company	300122	Agent - Health	8/17/1992	8/26/1996
Inactive	Wilco Life Insurance Company	300122	Agent - Life	8/17/1992	8/26/1996
Inactive		300277	Agent - Life	12/22/2000	12/14/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Benefit Management Systems Inc.	397935	Administrator - Not Applicable	5/17/1996	3/31/2014
Active	Benefit Marketing Solutions LLC	523708	Administrator - Not Applicable	6/15/2023
Active	Designated Agent Company Inc.	681257	Agent - Life	12/12/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/12/2013
Inactive	Kentucky Hospital Service Company of Kentucky, LLC	401254	Administrator - Not Applicable	2/9/1993	3/31/1997
Inactive	Medlink Inc	400721	Agent - Life	7/15/1996	3/31/2024
Inactive	Medlink Inc	400721	Agent - Health	7/15/1996	3/31/2024
Inactive	United Unioncare Inc.	400170	Agent - Life	3/18/1996	3/31/1997
Inactive	United Unioncare Inc.	400170	Agent - Health	3/18/1996	3/31/1997